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There is strong push for clinical leadership in the development and procurement of information technology in health care.1 The lack of clinical input to date has been cited as a major factor in the failure of information technology in health services2 and has prompted many clinicians to become involved in such endeavours. Furthermore, there are various clinical decision support systems available, the merits of which clinicians are expected to judge (such as Prodigy3 and Capsule4). This view is supported by assertions such as that general practitioner computing is seen “as an integral part of the NHS IT strategy,”5 the US Institute of Medicine’s statement that computing is “an essential technology for healthcare,”6 and the increasingly high levels of spending on healthcare information technology.

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